Addendum_6_-_Questions_&_Answers.pdf

HillsboroughSchools.org • P.O. Box 3408 • Tampa, FL 33601-3408 • (813) 272-4000 Raymond O. Shelton School Administrative Center • 901 East Kennedy Blvd. • Tampa, FL 33602-3507

Superintendent Van Ayres

PROCUREMENT SERVICES

ADDENDUM TO COMPETITIVE SOLICITATION

December 2, 2025

Competitive Solicitation No. and Name: 25598-RFP-DST Medical/Rx

Addendum #: 6

NOTICE TO ALL POTENTIAL BIDDERS/PROPOSERS/RESPONDENTS

The above-referenced competitive solicitation is modified as outlined in this addendum. The original competitive solicitation documents and any previously issued addenda remain in full force and effect, except as modified by this addendum, which is hereby made part of the competitive solicitation. Respondents must consider this Addendum when preparing and submitting their bid/proposal/quote/reply.

1. Questions and Answers

The following questions and answers are provided as a matter of information to clarify issues raised regarding the competitive solicitation. To the extent that changes to the competitive solicitation are required based on the questions received, the competitive solicitation has been modified as noted above in the competitive solicitation section of this addendum.

Question Answer Per the RX RFP Announcement it states that Vendors who would like to submit for Options 1 and Options 3 must be prequalified and submit Attachment A and Attachment C by November 11, 2025.

Question: On the Attachment A can you confirm if Vendors just need to Complete the Proposal Confirmation tab by the November 11, 2025 due date or are you also wanting Vendors to provide the Required Attachments listed on Tab 4. Additional Information. If Vendors are to also complete the Tab 4 can you please provide the Geo-Access Parameters (2 in 5, 2 in 10, etc) that you would like to see reports ran on as that is not included in any of the files attached in Vendorlink.

Proposers need to complete Tab 5, Proposal Confirmation. Tab 4 is information, and required attachments can be submitted with the final proposal.

For the Geo-Access, please use 2 in 10.

Please advise based on the census file Medical plan codes which plans they align to for the 2026 plan designs so we can ensure we are capturing the correct membership in each plan Codes from Census HDHP, Local, National, Select, Staff Plan Designs: High PPO, Low PPO, HMO

Please reference the revised census. See Addendum 2.

Use the password noted in Attachment A – Medical-Rx Read Me First.

Please provide a revised Cobra census that also provides the members Gender and Zip Code

Please reference the revised census. See Addendum 2.

Use the password noted in Attachment A – Medical-Rx Read Me First.

Hillsborough County Public Schools Page 2 of 15 25598-RFP-DST Medical/Rx

If we are bidding with the Rx carve out options, do we need to submit the proposal confirmation tab and/or Attachment C, by 11/11?

Attachment C must be completed if the respondent is submitting a proposal that includes pharmacy services, which could be provided under a carved-in or carved-out scenario. In a carved-in scenario, one carrier would provide both medical and pharmacy. In a carved-out scenario, a respondent could quote on medical services and partner with a pharmacy benefit manager (PBM) to offer the pharmacy services. In other words, the only time a respondent would not need to complete Attachment C is If they are only quoting medical services. Refer to Addendum 3.

Our PBM partner has 2 public sector clients over 20,000, one of which is over 100,000 covered lives. Would this be disqualifying for the Rx carved in bid? Given that the form is due tomorrow, if the PBM partner is not accepted, would we still be able to respond as TPA only with Rx Carve out?

If a respondent has a separate PBM partner, they will need to quote under one of the carved-out options. HCPS is looking for a complete solution that includes services for medical, behavioral health, and pharmacy – there is flexibility on whether these services are provided by one company or provided by two companies that are partnering together. If a vendor/PBM does not meet the minimum qualifications as stated in Attachment C, that vendor/PBM will not be accepted.

The deadline to submit the documents to pre-qualify for the Rx Only RFP has been extended and is set to 11/13/2025 at 5 pm ET. Refer to Addendum 3.

How does HCPS define carved in vs carved out? Carved-in – One company provides both medical and pharmacy services.

Carved-out – One company provides only medical services, and a separate Pharmacy Benefit Manager (PBM) provides only pharmacy services.

When will HCPS be making a decision on a carrier as this information would be needed to complete the Implementation Timeline

The deadline for the Rx Minimum Requirements is 11/13/25 at 5 pm. HCPS will respond to each individual who submitted no later than the week of 11/17/25.

The Insurance Committee is scheduled to meet on 1/27/26 to review all RFP responses that met minimum requirements and evaluate accordingly. The voting results will determine which vendor/solution is recommended to award.

A draft implementation timeline is acceptable.

Can you confirm the revised due date of the RX Only RFP deadline as the Addendum 3 states 11/15 but the response in questions submitted by Vendors states 11/13

The deadline to submit documents to prequalify for Rx Only RFP is 11/13/2025, 5 PM. Please refer to Addendum 4.

Our PBM partner only has 2 public entity clients over 20,000 lives. However, one of these has over 100,000 members. Would this level of experience be acceptable, or would this be disqualifying for the PBM?

If a vendor/PBM does not meet the minimum qualifications as stated in Attachment C, that vendor/PBM will not be accepted.

Would HCPS be willing to work with a partner who proposes only medical services, and has the ability to integrate with various PBMs?

HCPS is accepting bids for both carved-in and carved-out solutions. Both medical carriers and PBMs can respond individually.

Would HCPS be willing to work with a partner who proposes only medical services, and has the ability to integrate with various PBMs?

Duplicate question - HCPS is accepting bids for both carved-in and carved-out solutions. Both medical carriers and PBMs can respond individually.

Hillsborough County Public Schools Page 3 of 15

We plan on bidding self-funded TPA services only, Rx carved out. Just to be clear do we need/are we expected to respond to the SB1550 question on the proposal confirmation tab, given that we are not proposing PBM services?

Yes. HCPS would like to know how your interpretation of SB1550 related to medical pharmacy.

Please advise if RX data files will be available for the following items: NDC-11 Fill Date Pharmacy ID (NABP/NPI) Retail/Mail Indicator Days Supply Quantity

This information is not available for release.

Please advise if RX data files will be available for the following items: NDC-11 Fill Date Pharmacy ID (NABP/NPI) Retail/Mail Indicator Days Supply Quantity

Duplicate question. This information is not available for release.

Good afternoon, We’re trying to participate in the Hillsborough County Public Schools Medical/Rx RFP process; however, we just received the announcement today.

Is there any way we can obtain an extension on the pre-qualification process? The procurement announcement stated that completed attachments were due on 11/11. If granted, we can review and if we can meet minimum requirements, submit the required attachments by 5:00 p.m. ET on Monday, 11/17/25.

Thank you.

We regret to inform you that the submission deadline for the RX Only RFP pre-qualification cannot be extended. As stated in Addendum 4, the new submission deadline is from 11/11/25 to 11/13/25.

Does the incumbent currently offshore any services related to clinical or non-clinical services, Utilization Management and Disease Management? Please list the specific services that are offshore.

For each of the below specific services, please confirm that services are currently provided onshore.

All roles are onshore? This includes customer facing, health care provider facing and back-office roles.

Are only customer/ provider facing roles onshore?

Can you specifically identify the back office roles that are supported offshore?

Member-facing services are provided onshore.

Section 3.4 Qualifications Summary States in the second bullet: Technical Staff. The Proposer must provide the number of technical personnel employed and how many will be available to support HCPS.

Question: We need to know more specifically on what HCPS wants to know about technical personnel. Can you give us a definition of technical personnel and description of the incumbent support provided?

Attachment B, Medical Questions tab, section XIII (Account Management) for more details on the support levels expected. This is based on what is being provided by the incumbent today. refer to Addendum 5.

Hillsborough County Public Schools Page 4 of 15

Section 3.4 Qualifications Summary States in the third bullet: Proposer Resources/Equipment. The Proposer must list all resources available to provide the required contractual services. At a minimum, list all applicable assets, including equipment, vehicles, and any specialized skills relevant to the task.

Question: Similarly, we are not sure if HCPS is needing to see laptops used by onsite or something else. Can you let us know how you define assets, resources, equipment, vehicles and specialized skills? Can HCPS provide a description of the incumbent resources/ equipment currently being utilized?

We are referring to the assets and resources that show the company’s competitive edge.

1. Please confirm the due date for questions now that the Rx RFP has been released.

The Questions End Date is 11/20/2025, at 12:00 PM.

Please refer to the RFP document, page 1.

Can you confirm whether the Medicare Part D tab needs to be completed on the Rx Questionnaire?

The Medicare Part D tab can be excluded from submission.

Please provide description of current onsite roles, and onsite services provided by these roles?

Are the onsite roles described in Q different from what is currently provided by the incumbent?

The Account Management section in the medical questionnaire is based on what is being provided by the incumbent today.

General utilization analytics will help determine cost containment opportunities. Can HCPS share the most recent annual reporting on general utilization data?

We will work with the selected vendor to develop cost containment strategies.

Can you please provide information on the current Retirement System as the RFP is asking Vendors to direct bill retirees.

Alight (HCPS's benefit admin vendor) will be responsible for direct billing processes. Some retirees pay premiums via pension and some pay via direct bill through Alight.

HCPS works with each Retiree to decide and advises Alight on their choice.

Can HCPS please provide an updated claims file with billed charges and allowed amounts included?

Paid claims have been provided (see file:

Aetna_192675_P and C_01-24 thru 12-24 Processed Paid.xlsx and Aetna_192675_P and C_01-25 thru 9-25 Processed Paid.xlsx) For Repricing data, please see data folder: HCPS_Medical Repricing Data. See Addendum 5.

How would you like Vendors to respond to Attachment D RX Questionnaire Tab Performance Guarantees starting with 11.3.R1C1 - 11.5.R1 SC15 if Vendors can not agree to the Performance Guarantee ask but can provide an alternative.

Please add a column that includes an explanation of the reason for disagreement.

Are the incentives for the wellness currently being funded through the wellness plan?

No, the medical carrier funds the wellness program (including incentives).

What are the parameters for the wellness fund utilization? What has this fund been used for historically?

Is it used for the funding of the onsite wellness coordinator and the Vitality program and incentives?

The wellness fund has historically been utilized to pay for all aspects of the wellness plan, including (but not limited to): incentives and rewards, biometric screenings, part of the admin fees, and other costs associated with the plan.

The medical carrier onsite contacts are not paid for through the fund.

Is the intent to keep Teladoc as the Telehealth vendor? Teladoc is in place for 2026. We are open to discussing alternative telehealth solutions with the selected vendor.

Hillsborough County Public Schools Page 5 of 15

Is Hillsborough County Public Schools utilizing CVS Health Virtual Care & CVS Health Virtual Primary Care for telehealth services today or Teledoc?

Teladoc, CVS Virtual Care, and CVS Virtual Primary Care are all in place to provide choice for employees. We are open to discussing alternative telehealth solutions with the selected vendor.

Can HCPS please provide an updated claims file with billed charges and allowed amounts included?

Paid claims have been provided (see file:

Aetna_192675_P and C_01-24 thru 12-24 Processed Paid.xlsx and Aetna_192675_P and C_01-25 thru 9-25 Processed Paid.xlsx) For Repricing data, please see data folder: HCPS_Medical Repricing Data. See Addendum 5.

We need to know how proposer is to coordinate with Vitality, Teladoc 2nd opinion and telemedicine and Aetna EAP vendors. Please describe the current services provided with interface for these vendors?

We will work with the selected vendor to ensure all parties are in communication/data is being shared as needed. The medical carrier pays for the costs of the 2nd Opinion and Telemedicine (Teladoc and CVS options) plans. From a data perspective, in most cases, the medical carrier is simply providing eligibility data.

Please confirm Vitality is offered to both benefit enrolled and non-enrolled? What are the Vitality enrollment numbers for employee and separately for dependents?

The following populations are eligible for Vitality:

· Actives enrolled in medical

· Actives NOT enrolled in medical

· Retirees enrolled in medical

· Spouses if covered on the medical plan As of 11/18/25, there are 12,545 total registered: 12,447 employees and 98 spouses.

Is there currently an onsite pharmacy at any HCPS of the locations?

No. Tabs labeled 'Health Systems Capabilities' and 'Client Owned Pharmacies' can be excluded from submission.

Is there a Medicare Part D population that is being considered for coverage? If so, is there any details on number of members? Will this be for both RDS and EGWP options?

No. 'Medicare Part D' tab can be excluded from submission.

Do GLP-1 medications require prior authorizations? Yes, the step therapy and Prior Authorization program called Smart Edit, which confirmed a diabetes diagnosis in place.

Are weight loss medications covered? No What date should be used for the claims repricing on the Detailed Utilization Summary tab?

Please see HCPS_Medical Repricing Data folder. See Addendum 5.

Does HCPS own its own Pharmacies as the Attachment D RX Questionnaire has a tab labeled Client Owned Pharmacies and it states that HCPS has a domestic pharmacy so we are trying to understand that Pharmacy and how it plays into benefits administration for Pharmacy.

No. Tabs labeled 'Health Systems Capabilities' and 'Client Owned Pharmacies' can be excluded from submission.

Please provide a description of the wellness program in place today (all services) and for 2026.

HCPS uses Vitality4u program. Employees can earn points after registering. Points are earned by completing assessments and other activities and can be used to purchase gift cards and fitness devices.

Please provide the incentive design currently in place today and for 2026 and how much was paid out for 2025.

The Wellbeing services are currently out for bid. Once a vendor is confirmed, we will coordinate with the selected 2027 medical provider. The 2025 incentive budget is $750,000.

Please provide the 2025 annual wellness report The 2025 annual wellness report is not available.

Hillsborough County Public Schools Page 6 of 15

Are you interested in replacing the EAP in place today if you change vendors given it is Aetna’s EAP service? If so, please provide the 2025 annual EAP report

EAP is not being marketed at this time.

Do you have an on site wellness coordinator in place today? If so, what is the associated cost?

Yes. Associated fees are included in the admin costs.

Please confirm the $750k wellness fund is used to fund the wellness program and the incentives that are paid out. Also if you have an onsite wellness coordinator in place today is the $750k wellness fund used to pay for that person as well?

Today, the current carrier pays for the vendor cost of the Vitality program, plus funds the incentives and biometrics via the wellness fund. Total wellbeing budget is $2.85M.

Respondents to the Medical RFP are expected to pay these total costs directly to these vendors on HCPS's behalf, including incentives/rewards, biometric screenings, and other costs associated with the plan.

The wellness fund has historically been utilized to pay for all aspects of the wellness plan, including (but not limited to): incentives and rewards, biometric screenings, part of the admin fees, and other costs associated with the plan.

The medical carrier onsite contacts are not paid for through the fund.

Please provide a medical line-item claim file - Required:

• Provider TIN

• Servicing provider name (first and last separately for non-facility providers if possible)

• Provider 5-digit zip code, Procedure code (CPT-4, HCPCS, Revenue)

• Revenue code (prefer in its own field separate from procedure code)

• Place of Service

• Number of services/procedures/units/etc.

• Eligible charges (submitted less non-covered charges, basis for determining discount)

• Claimant 5-digit zip code Desired:

· Provider street address

· Provider city

· Provider state

· Provider type/specialty

· Provider current network status

· Type of service

· Diagnosis

· Submitted charges

· Non-covered charges

· Claimant/employee/patient paid

· Net paid by employer

· Claim number

· Unique claimant ID (preferably scrambled due to HIPAA PHI concerns)

Please see HCPS_Medical Repricing Data folder. See Addendum 5.

Will you be conducting a repricing analysis? Yes, please see HCPS_Medical Repricing Data folder. See Addendum 5.

Is EAP a component of this RFP? No.

Hillsborough County Public Schools Page 7 of 15

On Attachment B- Column G (Explanation) has a 400 character limit. Does this character limit also apply to column F (Response)? If not, is there a character limit for column F?

In most cases, column F has a drop down selection. In instances where Column F is text, please limit responses to 400 characters, utilizing Column G for an explanation.

If you need further explanation, please utilize the Medical Explanations tab. See Addendum 5.

Can you please provide 12-months of current Rx utilization data to underwrite the pharmacy proposal.

The minimally required fields of data needed on the data utilization report are the following:

o Line-by-Line claim Information by Drug dispensed for a 12 month period (i.e. Calendar Year or Rolling 12) o Date of Service/Drug Fill Date o National Drug Code (NDC) = 11-digit number o Pharmacy Number: NABP, NCPDP = 7-digit number or NPI = 10-digit number o Quantity Dispensed (Total Unit Dosage in Metric Units/Number of Metric Units of Medication Dispensed) o Days’ Supply o Retail/Mail Indicator o Brand/Generic Indicator o Incumbent Drug Tier (if wanting a detailed Formulary Analysis) o Unique Member Identifier (Not Social Security #)

Please see HCPS_Detailed Rx Data for the data needed.

Can you please provide the NAPB and/or NPI of any client owned (or Client Specific Network (CSN)) pharmacies.

a. What is the estimated percent of total scripts running through client owned (or Client Specific Network (CSN)) pharmacies?

b. What is the estimated percent of total spend running through client owned (or Client Specific Network (CSN)) pharmacies?

No client-owned pharmacies.

Hillsborough County Public Schools Page 8 of 15

Question: Can you please provide a provider specific repricing for medical & behavioral?

Please provide the following fields in the file:

Field Name Unique member identifier Provider TIN NPI cannot be used as a substitute for the provider`s tax id number Provider NPI Provider specialty Include data dictionary if universal codes are not used Provider subspecialty Include data dictionary if universal codes are not used Provider name Provider city Provider service address preferred Provider state Provider service address preferred Provider zip code Provider service address preferred Member zip code Diagnosis Code 1 Diagnosis Code 2 Diagnosis Code 3 Provider type indicator Indicator identifying facility, professional, ancillary and other provider types Service Dates Place of service indicator Indicator identifying place of service Revenue Code Bill Type Indicator If provider type indicator cannot be provided Service units/Days/Visits CPT code CPT code modifier Eligible billed charges Submitted charges minus non covered charges, before discounts are applied

Please see HCPS_Medical Repricing Data folder. See Addendum 5.

Regarding the requirement for resumes in the 2-4 page qualifications summary, can we provide the exact resume and qualifications of a qualified candidate that would serve in this role, versus providing personal details?

Yes, that is correct.

Regarding the technical staff piece of the qualifications summary, what functions does HCPS mean with technical staff? Member services, IT support, something else?

It refers to personnel such as IT staff or member services, as well as anyone with technical expertise relevant to the services mentioned in this RFP.

Hillsborough County Public Schools Page 9 of 15

Below are the questions we have compiled:

1 "Section 1.4 lists multiple options (ASO vs. TPA; Rx carved in vs. carved out).

Does HCPS intend to make one combined award for Medical + Rx, or is HCPS open to separate awards (e.g., medical to one vendor and pharmacy to another)? If separate awards are possible, will HCPS coordinate a joint implementation between awarded vendors?"

2 Is HCPS anticipating a single primary vendor for all medical/Rx services, or is there any scenario where multiple vendors could be awarded (e.g., by population segment or plan type)?

3 "Please provide the anticipated Board approval date, contract execution date, and target dates for:

Implementation kickoff Open enrollment communications Final system readiness / testing prior to the January 1, 2027 go-live."

4 Section 2.5.2 references optional Phase 2 presentations. Can you confirm whether HCPS expects to hold finalist presentations, and if so, during what anticipated week(s)?

1. Respondents have the opportunity to respond to just medical, just pharmacy, or both. A joint implementation would be expected if there are two companies chosen.

2. This will be up to the committee, but HCPS has not discussed or considered separating vendors by population or segment at this time. See Sec. 2.6 of the RFP.

3. Board approval date is tentative for February 2026.

Contract execution date is estimated to be prior to 1/1/2027. Implementation will kick off in March 2026.

Open Enrollment is scheduled for September 2026 with communications kicking off in June.

HCPS will partner with the chosen carrier to work backwards on system readiness and testing prior to 1/1/2027.

4. BAFO proposals are estimated due on 1/29/26 with vendor presentations scheduled, tentative date of 2/3/26. Finalist negotiations are estimated to conclude on 2/6/26.

5 Section 1.5 lists active employees, under-65 retirees, Medicare-eligible retirees, and COBRA participants with total enrollment as of August 2025. Please confirm that these are all populations in scope for this RFP (including any charter schools, leased employees, or other affiliates). Can HCPS provide projected enrollment by year for at least 2027–2029, or planning assumptions we should use?

6 Please provide or confirm current eligibility rules (full-time threshold, waiting period, re-hire rules, seasonal/temporary staff treatment, etc.) and whether any changes are anticipated for 2027.

7 Are Medicare-eligible retirees currently enrolled in a Medicare Advantage / group supplemental plan, or in the same commercial plan(s) as actives? Should proposers assume an integrated solution for Medicare-eligible retirees, or is HCPS open to a separate Medicare plan arrangement?

8 "Please provide additional detail on the claims experience period(s) provided (start/end dates, any large-claim pooling, and whether data is incurred/paid/lagged).

Will HCPS provide 2026 self-funded experience under Aetna as soon as credible, and will any such update be shared with all proposers?"

9 The narrative in Section 1.5 provides membership counts as of August 2025. Please confirm that the membership totals in the census align with these counts, and if not, provide a reconciliation or guidance on which source should be treated as authoritative for rating.

5. Confirmed that these are all populations in scope for this RFP (including any charter schools, leased employees, or other affiliates). Additionally, Leave of Absence employees should be included. Enrollment projections are unavailable.

6. See tab 1. Read Me First in Attachment A for eligibility rules. No anticipated changes for 2027.

7. Currently, post-65 retirees have the option to choose to stay on HCPS's active plan, paying the full premium, or choose a sponsored Medicare plan.

Please refer to the census for medically enrolled retirees.

This RFP does not include Medicare Advantage Retirees.

8. The data provided included paid claims from 2023 (Humana), 2024 (Aetna), and data through September 2025 (Aetna). The decision of this RFP will be final prior to 2026 self-funding experience being made available.

9. Please use the census counts. The numbers in section

1.5 don't include total members.

Hillsborough County Public Schools Page 10 of 15

10 Will HCPS provide standard provider and Rx disruption files (by NPI, Tax ID, or NCPDP for pharmacies) to enable accurate disruption analysis aligned to the evaluation criteria in “Network Access and Disruption”?

11 Does HCPS expect the awarded vendor to arrange and price specific/aggregate stop-loss, or will stop-loss be procured separately? If vendor-arranged stop-loss is desired, please provide any specific attachment points, aggregate factors, or corridor preferences.

12 "Section 2.5.1 lists “Rate Guarantee/Cap” and “Performance Guarantees” under the Cost/Value criteria.

Does HCPS have a preferred rate guarantee period (e.g., 3 years) and maximum acceptable annual trend caps for admin fees and Rx pricing?

Should proposers price admin fees separately for medical and pharmacy, or as a combined PEPM?"

13 Please clarify which types of credits HCPS would like proposers to quantify separately (e.g., wellbeing, communication, implementation, ongoing audits) and whether HCPS has any minimum expectations for these items.

14 For carve-in and carve-out scenarios, is HCPS seeking transparent pass-through pricing (with separately stated admin fees and rebates), or will HCPS also consider spread-based models?

10. Please see HCPS_Detailed Rx Data for the data needed. Please provide your standard network disruption report.

11. Stop loss will be procured separately.

12. Please refer to the Fee Schedule and/or Financial tabs. The RFP requests a 5-year rate guarantee.

13. Please refer to the Fee Schedule - Medical No Rx in Attachment B for the types of credits being requested.

14. HCPS will consider spread-based models.

Hillsborough County Public Schools Page 11 of 15

15 "Section 1.4 references three new medical plans in 2026.

Please provide detailed benefit summaries for the current and 2026 plan designs, including deductibles, OOP maximums, coinsurance, copays, specialty tiers, HDHP/HSA features, etc.

Does HCPS anticipatebenefit changes for January 1, 2027 beyond what is already in the Read Me / data, and if so, how should proposers handle pricing assumptions?"

16 "Section 1.5 indicates behavioral health is included in scope.

Is HCPS seeking a fully integrated behavioral health solution with medical, or will separate behavioral health carve-outs be considered?

Are there any specific behavioral health programs HCPS expects (e.g., EAP integration, tele-behavioral health, SUD programs, school-based services)?"

17 "Please clarify HCPS’ expectations regarding prior authorization, step therapy, specialty management, accumulators/co-pay maximizers, and 340B optimization.

Are there any clinical programs (e.g., oncology pathway support, gene therapy strategies, high-cost drug carve-outs) that HCPS expects proposers to address explicitly in the response?"

18 "Does HCPS have a preference for a broad, open formulary vs. a more managed/narrow formulary?

Are any specific drug classes or therapies considered “protected” where disruption must be minimized?"

15. Current plan documents were provided with the release of this RFP. No anticipated changes at this time.

16. Integrated model at this time.

17. Please include any clinical programs you feel will bring the best value to HCPS.

18. PBMs should submit their standard exclusions-based formularies and the broadest retail 30/90 networks.

Please be sure you are providing your standard network and formulary disruption report.

Hillsborough County Public Schools Page 12 of 15

19 "Does HCPS have an expected implementation timeline (e.g., X weeks prior to go-live) and a required minimum on-site presence during open enrollment and initial go-live?

Will HCPS assign a central implementation lead from Employee Benefits to coordinate with the awarded vendor?"

20 Please specify HCPS’ expectations for local vs. national account management, including required onsite or in-market presence, dedicated clinical resources, and hours of operation.

21 "Are there specific file formats and schedules HCPS requires for eligibility, claims, and financial feeds (e.g., weekly eligibility, monthly claim feeds)?

Are there any mandatory reporting requirements tied to Board, union, or state reporting that must be supported (beyond standard utilization and financial reporting)?"

22 "The separate “Federal Funding (Appendix II to 2 CFR Part 200)” document outlines federal grant requirements.

Please confirm whether any portion of medical or pharmacy costs under this Agreement will be paid with federal grant funds, and if so, which programs (e.g., IDEA, CARES/ESSER/ARP, other federal grants)."

23 "Please clarify how USDA Funding (Appendix C) applies to this contract:

Which populations or services are tied to USDA funds?

Are there any additional reporting, cost allocation, or procurement requirements that proposers should explicitly address in their responses?"

19. These requirements will be discussed during negotiations and/or implementation. Each respondent should provide their implementation timeline with their proposal.

20. HCPS is open to - and would rely on - the chosen vendor to provide the highest quality support, whether that’s local or national. Please refer to the Key Services tab in Attachment B for important service requests related to On-sites.

21. Specific file formats will be discussed and reviewed during implementation; No specific reporting requirements are needed at this time outside the standard utilization and financial reporting.

22. Yes, this RFP has federal funds as one of its sources.

23. This RFP has federal funds as one of its sources. The Student Nutrition Services program is funded by USDA.

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24 "The Federal Funding appendix references the prohibition on certain telecommunications and video surveillance services or equipment.

Please confirm that this requirement is intended to apply to the vendor’s internal infrastructure only, and whether HCPS expects any specific attestation language in our response beyond executing the provided certification."

25 Please confirm whether the Foreign Countries of Concern Affidavit must be completed at proposal submission or only upon award.

26 Section 4 includes numerous required affidavits (human trafficking, non-collusion, drug-free workplace, scrutinized companies, debarment, Byrd Anti-Lobbying, Truth and Accuracy, Addenda acknowledgment). Please confirm that all forms included in Section 4 and the separate Federal Funding/USDA/Foreign Country documents must be submitted with the proposal response, and identify any forms that are award-only.

27 General Terms and Conditions Section 1.11 (Federal Funding doc) and Section 6 discuss remedies for breach and liquidated damages. Are there any pre-defined performance standards or liquidated damage amounts tied specifically to claims timeliness, call metrics, implementation milestones, or network access, or should proposers propose their own performance guarantee framework?

24. As described in Public Law 115-232, section 889, covered telecommunications equipment is telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities). Refer to Sec.

1.2 of the Federal Funding.

25. This form must be submitted with the proposal.

26. All the forms as mentioned and included in the RFP document must be submitted with the proposal.

27. No, it is based on the assessed damages.

28 For pricing and risk assessment, please confirm whether HCPS will consider cost recovery for custom implementation or capital investments in the event of early termination for convenience or funding non-appropriation.

28. No, HCPS will not pay cost recovery for custom implementation or capital investments in the event of early termination for convenience or funding non-appropriation.

25598-RFP-DST Medical - Rx P – 2.5.1 Evaluation Phase 1.

– Page 9: Based on the evaluation criteria, only "Medical/Rx ASO fees" will be scored.

How will proposers be scored based on network discounts? Will network discounts not be scored as part of this proposal submission?

Network discounts will be incorporated into the overall projected cost analysis. See Addendum 5.

25598-RFP-DST Medical - Rx P – 2.5.1 Evaluation Phase 1.

– Page 9: Based on the evaluation criteria, only "Medical/Rx ASO fees" will be scored. How will a proposer`s pharmacy offer be scored? Will pharmacy discounts, rebates, etc. not be considered in the scoring?

Pharmacy costs will be incorporated into the overall projected cost analysis. See Addendum 5.

Hillsborough County Public Schools Page 14 of 15

HCPS Attachment A: Is there an opportunity to update our proposal options or are we only able to provide proposal responses for the options we indicated in our November 11 submission. Under Scope of Services, Section 1.4, it is mentioned, "HCPS leaves it to each respondent`s discretion on what option to propose: 1.

Self-Funded ASO option with Rx carved in; 2. Self-Funded ASO option with Rx carved out; 3. Self-Funded TPA option with Rx carved in; 4. Self-Funded TPA option with Rx carved out. This is listed in another section as well.

However, in the RFP Instructions tab, there are five options listed: Self-Funded ASO, Rx Carved In; Self- Funded TPA, Rx Carved In; Self-Funded ASO, Rx Carved Out; Self-Funded TPA, Rx Carved Out, Rx Only (Rx Carved Out). Please clarify HCPS will accept a fifth option that proposers can choose to submit, should proposers submit Rx Only (Rx Carved Out) proposal.

Yes, you can update your proposal response to submit an Rx Only (Rx Carved Out) proposal.

HCPS Attachment B Medical Questionnaire 10.31.25- MEDICAL RFP-Minimum Qualifications, Row 14-It is indicated that proposers "Must agree to fund wellness programs provided by HCPS` Wellness vendor (i.e. pay the vendor directly on HCPS`s behalf; including incentives/rewards, biometric screenings, and other costs associated with the plan." Could you clarify how the proposers should build this in? What amount should be built in for incentives/rewards, biometric screenings, and other vendors?

Today, the current carrier pays for the vendor cost of the Vitality program plus funds the incentives and biometrics via the wellness fund. Total wellbeing budget is $2.85M.

Respondents to the Medical RFP are expected to pay these total costs directly to these vendors on HCPS's behalf, including incentives/rewards, biometric screenings, and other costs associated with the plan.

Key Services Tab is being asked for at no additional cost:

Do Innovative Options have to be offered at No additional Cost

Innovative programs are intended to reduce overall claims; however, there could be a cost for services as long as there is a guaranteed return on investment.

Please confirm that the “local” network is the HMO The 2025 Local plan was converted into the Low PPO for 2026/2027.

Can we confirm membership numbers? We are only seeing contract count.

~23,063

Can you provide a claim extract for the most recent 12 months of data available that includes the following fields:

o NDC-11 o Fill Date o Pharmacy NPI o Retail/Mail Indicator o Quantity o Days’ Supply

Please see HCPS_Detailed Rx Data for the data needed.

See Addendum 5.

The following tabs are referenced in the RFP, but are not included in what we received:

o Rx-Pricing tab o Clinical tab o Other Program Fee(s)/Cost(s) tab

Please see the Addendum_5 HCPS_Attachment E_Rx RFP Financials_12.1.25. Please complete it in its entirety along with the RFP submission.

Does the group currently cover weight loss drugs, and do they intend to cover them in 2027?

They do not currently cover GLP-1s for weight loss, and there has been no discussion to add them as of 1/1/2027.

Hillsborough County Public Schools Page 15 of 15

The Rx RFP does not include a deviations tab – where can we put deviations that don’t give us space for an explanation?

Please add a column that includes an explanation of the reason for disagreement.

On the Definitions Tab: For 4.9 – We need clarification if this is referring to a retail pharmacy or subcontracting with an in-house pharmacy?

Subcontracting with an in-house pharmacy. Not applicable to HCPS.

Do we need to complete the Health Systems Capabilities Tab?

No. Tabs labeled 'Health Systems Capabilities' and 'Client Owned Pharmacies' can be excluded from submission.

Do we need to complete the Client Owned Pharmacies Tab?

No. Tabs labeled 'Health Systems Capabilities' and 'Client Owned Pharmacies' can be excluded from submission.

Do we need to complete the Client Owned Pharmacies Tab?

o If yes, then on 7.1R1C1 : Vendor will allow HCPS’s Client-owned pharmacies to dispense 90-day maintenance medications. Please confirm this is exclusively for R90/Mail medications.

No. Tabs labeled 'Health Systems Capabilities' and 'Client Owned Pharmacies' can be excluded from submission.

Do we need to complete the 340B Drug Pricing Tab? Yes. But any reference to an on-site pharmacy will not be applicable.

Do we need to respond to the Medicare Part D Tab? We don’t see any reference to this in the medical RFP about Medicare Part D.

No. 'Medicare Part D' tab can be excluded from submission.

Please provide more information on the Specialty Payor Hub model and design you refer to on the technical tab section 9.20.

Attachment D, Section 9.20, can be omitted.

This Addendum shall be construed and governed by the laws of the State of Florida.

Sincerely, Christy Perales, Procurement Officer

THE BIDDER/PROPOSER/RESPONDENT MUST ACKNOWLEDGE RECEIPT OF THIS ADDENDUM WITH YOUR

BID/PROPOSAL/REPLY ON THE FORM PROVIDED IN THE COMPETITIVE SOLICITATION.

1. Questions and Answers